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Meckel’s Diverticulum

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Pediatric Digestive Surgery

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Abstract

The Meckel’s diverticulum (MD) is the commonest congenital abnormality of the gastrointestinal tract. It has an ileal mucosa, but heterotopic mucosa can be found, and then 80–85 % of the ectopic tissue is gastric mucosa, sometimes associated with pancreatic tissue. Heterotopic mucosa is often responsible for complications as bleeding or diverticulitis, but small bowel obstruction is the most frequent clinical manifestation of MD. Technetium 99m pertechnetate scintigraphy and CT scan are the principal imaging means. The treatment of a symptomatic MD is resection. Laparoscopicassisted diverticulectomy and segmental ileal resection are now the usual procedures to treat MD. When incidental MD is identified, no prophylactic resection is recommended because leaving an incidental MD in situ reduces the risk of postoperative complications without increasing late complications.

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Authors and Affiliations

  1. Department of Pediatric Surgery, Centre Hospitalier Universitaire, 42055, Saint-Etienne, Cedex 2, France

    François Varlet, Sophie Vermersch, Nasser Bustangi, Manuel Lopez & Aurélien Scalabre

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  1. François Varlet
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  2. Sophie Vermersch
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  3. Nasser Bustangi
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  4. Manuel Lopez
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  5. Aurélien Scalabre
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Correspondence to François Varlet .

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Editors and Affiliations

  1. Pediatric Surgery, S. Orsola-Malpighi Hospital Bologna University, Bologna, Italy

    Mario Lima

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Varlet, F., Vermersch, S., Bustangi, N., Lopez, M., Scalabre, A. (2017). Meckel’s Diverticulum. In: Lima, M. (eds) Pediatric Digestive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-40525-4_19

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  • DOI: https://doi.org/10.1007/978-3-319-40525-4_19

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